Resources & Publications

2020 Hospital Homeless Count Results Release

The Consortium released its annual Hospital Homeless Count on August 28, 2020, following the release of the NYC Department of Homeless Services’s 2020 Homeless Outreach Population Estimate (HOPE) results.

On January 27, 2020—the same night as HOPE—the Consortium led its annual effort to independently count to count the number of people experiencing homelessness who were seeking care or shelter in NYC hospitals, identifying 226 unsheltered homeless people in 30 hospital emergency rooms in the Bronx, Manhattan, Brooklyn, and Queens.

Learn more about the Hospital Homeless Count >>

Hospital Homeless Count Reports 2014-2019

The Health & Housing Consortia are published in Health Affairs!

The Bronx and Brooklyn Health & Housing Consortia are excited to announce the publication of our paper on the development of health and housing consortia in Health Affairs, a widely acclaimed journal on health policy. The April issue explores the integration of health and social services, recognizing the growing attention in the health sector to the social factors that play a role in health, and highlighting the need for a unified response more than ever in the face of COVID-19. 

In our paper, titled The Development of Health and Housing Consortia in New York City, we detail our work, including how we got started in the Bronx, our efforts to successfully integrate health care and housing services, and our expansion into Brooklyn. The paper was co-authored by Amy L. Freeman, Bonnie Mohan, Henie Lustgarten, Deirdre Sekulic, Laura Shepard, Megan Fogarty, Sue A. Kaplan, and Kelly M. Doran. 

In addition to the publication, the Consortium was invited to write a post for the Health Affairs blog about our response to the pandemic, specifically about how we are sharing resources to help those on the frontlines.

Consortium-Developed Resources

Medicaid Redesign Team (MRT) Pilot Scattered-Site Housing Program: Toolkit and Lessons Learned

The implementation of health reform and the establishment of the Health Home Program to focus on high-cost Medicaid populations puts into stark relief that the homeless and precariously housed populations are a significant driver of inappropriate health care utilization and high Medicaid costs.

The New York State Department of Health (NYSDOH) Medicaid Redesign Team (MRT) recognized this need for housing and launched the Supportive Housing Health Home Pilot Project. The MRT Pilot Project provides rental subsidies for scattered-site supportive housing units available to Health Home members—Medicaid recipients with high Medicaid spending and chronic conditions.

This differs from other MRT housing programs, which require specific diagnoses (behavioral health and/or substance use disorder) and the 2010E application process through HRA.

A committee of the Health & Housing Consortium comprised of housing, health, research, and managed care representatives met during 2015 to discuss the targeting of these scarce MRT Pilot Program housing units to people most in need with the greatest potential for reduced avoidable hospital utilization.

From this committee’s work, the Consortium developed a toolkit for organizations with similar housing programs and for those seeking to make referrals into this program.


Housing Referral Manual

This Housing Referral Manual is designed as a resource for providers assisting clients to apply for housing. It is intended to be a user-friendly document that provides information about housing options, primarily for various special needs populations identified in the NY/NY III Agreement, as well as the first two NY/NY Agreements and other special needs housing options.


Health-Housing Meetings Recommendations

The Consortium Steering Group agreed in March 2013 to use recent successful health-housing collaboration meetings to develop a list of key components that create effective inter-agency relationships.


Health Home/Homelessness White Paper

The Need for More Housing for People with Complex Needs by the Health and Housing Consortium and Corporation for Supportive Housing


Other Resources

Benefits Plus SNAP Calculator

A free online tool from the Community Service Society of NY which allows you to determine whether a household is income eligible for SNAP and the potential amount of SNAP benefits a household may be eligible for. Based on the information you input, the SNAP calculator will estimate a household’s income eligibility and benefit amount for SNAP. Definitions and other pertinent information is provided to aid you in the process.

Health Information Tool for Empowerment (HITE)

The Health Information Tool for Empowerment is an online directory offering information on more than 5,000 health and social services available to low-income, uninsured, and underinsured individuals in the Greater New York area.


With conveniently located prevention centers staffed with homelessness prevention experts, Homebase offers a range of services under one roof, including:

  • Services to prevent eviction
  • Assistance obtaining public benefits
  • Emergency rental assistance
  • Education and job placement assistance
  • Financial counseling and money management
  • Help relocating
  • Short-term financial assistance

Find your closest Homebase Office.

Download a brochure in English and Spanish.

Resources for NYC Immigrants

The Mayor’s Office of Immigrant Affairs produced this resource guide to serve as a quick and easy road map of City services currently available to all New Yorkers. The City of New York supports all its residents. Most City services are available to everyone, including undocumented immigrants, like going to school or using the health care system or other services. City employees will not ask about immigration status unless it is necessary to do their jobs. They must keep immigration status information confidential.

South Bronx Community Resources and Services Directory

This South Bronx Community Resources and Services Directory, developed by The Mott Haven Community Partnership Program, contains resources and services primarily in Community District One and the surrounding neighborhoods in the South Bronx.